鏡視下骨接合術を施行した肩甲骨関節窩骨折 Ideberg typeIII の 1 例
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Glenoid fractures of the scapula are rare. Displaced glenoid fractures require reduction and internal fixation to avoid persistent pain and early onset of osteoarthritis. We report a case of Ideberg typeIII glenoid fracture of the scapula treated by arthroscopic repair.<BR>A 55-year-old female fell indoors in June 2011. X-ray and CT showed Ideberg typeIII glenoid fracture of the right scapula and ipsilateral acromial fracture. The step-off of articular surface was 5mm, and the gap of fracture site was 8mm. The glenoid fracture was stabilized with arthroscopically assisted reduction and percutaneous fixation with two 4.0mm cannulated cancellous screws (CCS) inserted from antero-superior portal and Neviaser portal. The acromial fracture was also repaired with two 3.5mm CCS inserted percutaneously. Post-operative X-ray and CT showed anatomical reduction. After 12months, the range of active elevation, external rotation, and internal rotation were 155 degrees, 45 degrees, and T7 level, respectively. JOA score was 98 points.<BR>Clinical results of arthroscopic repair of Ideberg typeIII glenoid fracture were satisfactory. For Ideberg type III glenoid fracture, arthroscopic repair seems to be effective.
- 日本肩関節学会の論文
日本肩関節学会 | 論文
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